Coronial

535 results for sepsis

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VIChospital2022-08-29

Finding into death of Helen Welsh

63y · Female·Escherichia coli septicaemia in a lady with multiple comorbidities

…rge day, she deteriorated with fever, altered consciousness, and hypotension. A MET call was initiated and sepsis was suspected. However, clinical staff prioritised CT imaging over immediate antibiotic administration whi…

cardiothoracic surgeryemergency medicinedelaydiagnosticcarbimazole
VIChospital2010-03-22

Finding into death of Magdalena Schauer

36y · Female·Acute brain injury due to intracerebral haemorrhage secondary to sepsis

…s and purpuric rash. Paramedics appropriately administered empiric antibiotics for suspected meningococcal sepsis. Hospital investigation revealed intracerebral haemorrhages and blood cultures grew Staphylococcus aureus …

emergency medicineintensive careheroin
NT2013-11-20

Inquest into the death of Sara Lorraine Hampel

21y · Female·Multiple organ failure as a result of overwhelming Streptococcus pyogenes (Group…

Sara Hampel, 21 years old, died from sepsis caused by necrotising fasciitis (Group A Streptococcus) on 14 October 2011, presenting 8 days post-partum …

obstetricsemergency medicinediagnosticcommunicationparacetamol
SAhospital2026-02-26

Coroner's Finding: Taylor, Warren Richard

79y · Male·Urinary tract infection with E coli bacteraemia on a background of ischaemic hyp…

…concerning vital signs (tachypnoea, tachycardia, low oxygen saturation, fever) and a history suggestive of sepsis (6-day UTI symptoms, rigors, confusion). The ED RMO assessed the patient as having a simple UTI and discha…

emergency medicinegeneral practicediagnosticcommunicationtrimethoprim
NSWhospital2018-02-27

Inquest into the death of Michaela Perrin

26y · Female·sepsis

Michaela Perrin, 26, died from sepsis arising from a post-caesarean wound infection caused by MRSA on 22 October 2014. She presented to the Emer…

obstetricsemergency medicinediagnosticcommunicationceftriaxone
NSWhospital2025-05-28

Inquest into the Death of Garry Small

71y · Male·Subdural haemorrhage on a background of an unwitnessed fall and anticoagulation …

…iabetes, ischaemic heart disease and osteomyelitis presented with fever and hypoglycaemia. He met Red Zone sepsis criteria (lactate 4.5mmol/L) but antibiotics were significantly delayed—ceftriaxone ordered but not charte…

emergency medicinegeriatric medicinemedicationdelayceftriaxone
ACThospital2023-01-30

Inquest into the Death of Maarouf El-Cheikh

57y · Male·streptococcus pneumonia septicaemia due to splenectomy

Maarouf El-Cheikh, a 57-year-old man with splenectomy history, presented to Calvary Hospital ED with sepsis on 21 March 2016 and died 22 March 2016. Expert review identified multiple sub-optimal care deficiencies: …

emergency medicineintensive carediagnosticmedicationceftriaxone
TAShospital2024-07-25

Coroner's Finding: Briffa, Gennette Anne

73y · Female·sepsis due to breakdown of oesophageal/gastric anastomosis following laparoscopi…

A 73-year-old woman died from sepsis due to breakdown of oesophageal/gastric anastomosis following laparoscopic revision of gastric bypass surg…

bariatric surgerygeneral surgerydiagnosticdelayapixaban
NSWhospital2018-12-03

Inquest into the death of Troy Almond

1y · Male·Septicaemia due to Streptococcal (Beta Haemolytic Group A) infection

…to investigate possible bacterial infection. He deteriorated overnight and died from Group A Streptococcal sepsis. Expert evidence established that blood cultures should have been performed after the initial assessment a…

emergency medicinepaediatricsdiagnosticsystemparacetamol
VIChospital2024-02-04

Finding into death of Miranda Louise Lynch

46y · Female·Sepsis of unknown origin

…an with severe cerebral palsy, spastic quadriplegia, epilepsy, and aspiration pneumonia history, died from sepsis of unknown origin. She was admitted to Box Hill Hospital on 20 April 2023 after two episodes of altered co…

emergency medicinegeneral medicineintravenous fluids
NThospital2019-09-20

Inquest into the death of Joanne Craig

57y · Female·multi-organ failure due to sepsis caused by streptococcus pneumoniae infection

…ine District Hospital on 24 January 2018 with fever, vomiting, and cough. She had streptococcus pneumoniae sepsis with elevated inflammatory markers from 11:41am onwards, indicating bacterial infection. Despite fulfillin…

emergency medicinegeneral practicediagnosticcommunicationondansetron
QLDrural hospital2020-05-08

FD - Non-inquest findings

68y · Female·Sepsis (Enterobacter cloacae) due to peritonitis as a consequence of leaking per…

A 68-year-old woman with oculopharyngeal muscular dystrophy died from sepsis due to peritonitis following dislodgement of a PEG tube inserted on 27 February 2018. She presented to a r…

gastroenterologyemergency medicinediagnosticcommunicationaugmentin duo
QLDhospital2024-09-20

Non-inquest findings into the death of HK, a five year old boy

5y · Male·Septic shock due to Influenza A infection and bacterial co-infection with Staphy…

…(149 bpm) at 7:21 pm. He re-presented moribund 12 hours later in cardiac arrest. Clinical lessons include: sepsis was not actively considered in the differential; the Queensland Paediatric Sepsis Pathway was not used; re…

emergency medicineinfectious diseasesdiagnosticcommunication
VIChospital2025-08-22

Finding into death of Melanie Ranken

33y · Female·Respiratory sepsis in a woman with an acquired brain injury

…cquired brain injury from a 2017 motor vehicle accident and post-traumatic epilepsy, died from respiratory sepsis secondary to community-acquired pneumonia. She was admitted to Ballarat Base Hospital on 20 May 2025 with …

respiratory medicineinfectious diseases
NSWhospital2020-03-17

Inquest into the death of Esteban FRANCO-GARCES

11y · Male·Sepsis

…d premature infant presented to the ED with fever, lethargy and poor feeding. Despite initial suspicion of sepsis at 1:15pm, antibiotics were not administered until 4pm—a three-hour delay. Key failures included: delayed …

emergency medicinepaediatricsdiagnosticdelayantibiotics
TAShospital2014-09-19

Coroner's Finding: Tetley, Barry Lindsay

72y · Male·sepsis of undetermined source (pneumonia or spinal epidural abscess)

…77.9, high WBC), hypotension (98/59 mmHg at 6:30am), hyponatremia, and hypoalbuminemia—all consistent with sepsis. Despite these findings, he was discharged without vital signs being rechecked or documented, without exam…

emergency medicineintensive carediagnosticcommunication
VIChospital2025-07-29

Finding into death of Mr SV

74y · Male·Sepsis complicating pyelonephritis and pseudo large intestinal obstruction (pall…

A 74-year-old man with intellectual disability, Parkinson's disease, and dysphagia died from sepsis complicating pyelonephritis and pseudo-obstruction after prolonged hospitalisation. He was admitted in Feb…

general medicineemergency medicine
TAShospital2021-04-12

Coroner's Finding: Davis, Graeme Charles

56y · Male·sepsis

A 56-year-old man died from sepsis following elective bladder cancer surgery. Post-operative infection developed with clear clinical signs: e…

urologysurgerydiagnosticmedicationcefazolin
SAhospital2020-05-21

Coroner's Finding: SOMMERVILLE Adam

73y · Male·metastatic small cell lung cancer and sepsis

A 73-year-old man with metastatic small cell lung cancer and sepsis died in Royal Adelaide Hospital while in prison custody. He had been sentenced in May 2015 and received ap…

oncologyradiation oncologybuprenorphine
NTcommunity2023

Inquest into the death of Toddler R

3y · Male·Disseminated Staphylococcus aureus infection

A 3-year-old Aboriginal boy died from disseminated Staphylococcus aureus infection with sepsis. He presented to a remote clinic on 10 April with fever and dizziness, then returned on 13 April with irre…

general practicepaediatricsdiagnosticdelayparacetamol
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